Davis, Lisa Ellen

Davis, Lisa Ellen is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Davis, Lisa Ellen can be contacted via phone (801) 581-4014.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 5522893-4402 Utah

Profile Details

NPI number 1124289798
LBN Legal business name Davis, Lisa Ellen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Oct 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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